scholarly journals The Association between State Policy Environments and Self-Rated Health Disparities for Sexual Minorities in the United States

2018 ◽  
Vol 15 (6) ◽  
pp. 1136 ◽  
Author(s):  
Gilbert Gonzales ◽  
Jesse Ehrenfeld
Keyword(s):  
United States ◽  
Health Disparities ◽  
State Policy ◽  
Sexual Minorities ◽  
The United States ◽  
Self Rated Health ◽  
Policy Environments

scholarly journals Trends in State Policy Support for Sexual Minorities and HIV-Related Outcomes Among Men Who Have Sex With Men in the United States, 2008–2014

2020 ◽  
Vol 85 (1) ◽  
pp. 39-45
Author(s):  
Mark L. Hatzenbuehler ◽  
Sarah McKetta ◽  
Naomi Goldberg ◽  
Alex Sheldon ◽  
Samuel R. Friedman ◽  
...  
Keyword(s):  
United States ◽  
State Policy ◽  
Sexual Minorities ◽  
The United States ◽  
Policy Support ◽  
Sex With Men

scholarly journals Conceptualizing Ethnicity: How Dimensions of Ethnicity Affect Disparities in Health Outcomes Among Latinxs in the United States

2020 ◽  
Vol 30 (3) ◽  
pp. 489-500
Author(s):  
Whitney N. Laster Pirtle ◽  
Zulema Valdez ◽  
Kathryn P. Daniels ◽  
Maria D. Duenas ◽  
Denise Castro
Keyword(s):  
United States ◽  
Health Disparities ◽  
The United States ◽  
Physical Health Status ◽  
Lower Odds ◽  
Life Study ◽  
Regression Methods ◽  
Self Rated Health ◽  
Excellent Health ◽  
Mental And Physical Health

Background: This study considers how attributional and relational dimensions of ethnicity affect Latinxs’ health outcomes.Methods: Using regression methods to ana­lyze data from the 2006 Portraits of American Life Study, we examined how attributional and relational dimensions of ethnicity affect: 1) intragroup differences in Latinx mental and physical health status, as measured by feelings of worthlessness and self-rated health, respectively; and 2) intergroup dif­ferences between Latinxs and non-Hispanic Whites in these health outcomes.Results: Latinxs have higher odds of feelings of worthlessness and lower odds of self-reporting good/excellent health compared with non-Hispanic Whites. Additionally, in­tragroup differences in health are observed among Latinxs, conditioned on attributional or relational dimensions of ethnicity.Conclusion: Multidimensional measures of ethnicity that distinguish between charac­teristics associated with ethnicity (attribu­tional) or race (relational) offer a nuanced explanation of health disparities by revealing aspects of ethnicity that shape health out­comes differently, contributing to the goals of health equity.Ethn Dis. 2020;30(3):489-500; doi:10.18865/ed.30.3.489

scholarly journals A Confluence of Policy Inequality: Health Disparities in Old Age Among American Indian and Alaska Native Populations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 37-37
Author(s):  
Sadie Giles
Keyword(s):  
United States ◽  
Health Disparities ◽  
Life Course ◽  
American Indian ◽  
Old Age ◽  
Alaska Native ◽  
Political History ◽  
The United States ◽  
The Political ◽  
The Life Course

Abstract Racial health disparities in old age are well established, and new conceptualizations and methodologies continue to advance our understanding of health inequality across the life course. One group that is overlooked in many of these analyses, however, is the aging American Indian/Native Alaskan (AI/NA) population. While scholars have attended to the unique health inequities faced by the AI/NA population as a whole due to its discordant political history with the US government, little attention has been paid to unique patterns of disparity that might exist in old age. I propose to draw critical gerontology into the conversation in order to establish a framework through which we can uncover barriers to health, both from the political context of the AI/NA people as well as the political history of old age policy in the United States. Health disparities in old age are often described through a cumulative (dis)advantage framework that offers the benefit of appreciating that different groups enter old age with different resources and health statuses as a result of cumulative inequalities across the life course. Adding a framework of age relations, appreciating age as a system of inequality where people also gain or lose access to resources and status upon entering old age offers a path for understanding the intersection of race and old age. This paper will show how policy history for this group in particular as well as old age policy in the United States all create a unique and unequal circumstance for the aging AI/NA population.

scholarly journals Understanding and Promoting Racial Diversity in Healthcare Settings to Address Disparities in Pandemic Crisis Management

2021 ◽  
Vol 12 ◽  
pp. 215013272110183
Author(s):  
Azza Sarfraz ◽  
Zouina Sarfraz ◽  
Alanna Barrios ◽  
Kuchalambal Agadi ◽  
Sindhu Thevuthasan ◽  
...  
Keyword(s):  
United States ◽  
Health Disparities ◽  
Racial Discrimination ◽  
Clinical Training ◽  
Minority Groups ◽  
Mental Health Problems ◽  
Minority Group ◽  
Healthcare Delivery ◽  
The United States ◽  
Majority Group

Background: Health disparities have become apparent since the beginning of the COVID-19 pandemic. When observing racial discrimination in healthcare, self-reported incidences, and perceptions among minority groups in the United States suggest that, the most socioeconomically underrepresented groups will suffer disproportionately in COVID-19 due to synergistic mechanisms. This study reports racially-stratified data regarding the experiences and impacts of different groups availing the healthcare system to identify disparities in outcomes of minority and majority groups in the United States. Methods: Studies were identified utilizing PubMed, Embase, CINAHL Plus, and PsycINFO search engines without date and language restrictions. The following keywords were used: Healthcare, raci*, ethnic*, discriminant, hosti*, harass*, insur*, education, income, psychiat*, COVID-19, incidence, mortality, mechanical ventilation. Statistical analysis was conducted in Review Manager (RevMan V.5.4). Unadjusted Odds Ratios, P-values, and 95% confidence intervals were presented. Results: Discrimination in the United States is evident among racial groups regarding medical care portraying mental risk behaviors as having serious outcomes in the health of minority groups. The perceived health inequity had a low association to the majority group as compared to the minority group (OR = 0.41; 95% CI = 0.22 to 0.78; P = .007), and the association of mental health problems to the Caucasian-American majority group was low (OR = 0.51; 95% CI = 0.45 to 0.58; P < .001). Conclusion: As the pandemic continues into its next stage, efforts should be taken to address the gaps in clinical training and education, and medical practice to avoid the recurring patterns of racial health disparities that become especially prominent in community health emergencies. A standardized tool to assess racial discrimination and inequity will potentially improve pandemic healthcare delivery.

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